CARMEN KADESHA JIMENEZ MSW, LCSW, LISW-CP
NPI 1215280904
Social Worker - Clinical in Evans, GA
NPI Status: Active since October 18, 2012
Contact Information
4460 WASHINGTON RD STE 19
EVANS, GA
ZIP 30809
Phone: (980) 275-2505
Fax: (207) 591-9801
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
About CARMEN JIMENEZ
This page provides the complete NPI Profile along with additional information for Carmen Jimenez, a provider established in Evans, Georgia with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215280904 assigned on October 2012. The practitioner's primary taxonomy code is 1041C0700X with license number SW.10478 CP (SC). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1215280904
- Provider Name
- CARMEN KADESHA JIMENEZ MSW, LCSW, LISW-CP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4460 WASHINGTON RD STE 19 EVANS, GA 30809
- Location Phone
- (980) 275-2505
- Location Fax
- (207) 591-9801
- Mailing Address
- PO BOX 5111 AUGUSTA, GA 30916
- Mailing Phone
- (980) 275-2505
- Mailing Fax
- (207) 591-9801
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-18-2012
- Last Update Date
- 02-27-2019
- Code Navigator
A clinical social worker like Carmen Jimenez is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Secondary Locations
- 300 Berkshire Dr Ste F
Columbia, SC 29223
(980) 275-2505
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- SW.10478 CP
- License State
- SC
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | P007687 (NC) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | SW.10478 CP (SC) |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | P007687 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| SW1128 | MEDICAID (05) | SC | |
| 003213277A | MEDICAID (05) | GA |
Reviews for CARMEN KADESHA JIMENEZ MSW, LCSW, LISW-CP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 2 | 8 | 0 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 4 | 8 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 4 + 8 + 0 + 9 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1215280904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215280904, enumerated in the NPI registry as an "individual" on October 18, 2012
The provider is located at 4460 Washington Rd Ste 19 Evans, Ga 30809 and the phone number is (980) 275-2505
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Molina Healthcare, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 18, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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